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CignaCommercial · Administrative · CoverageHigh impact

EDI Requirement Update and Tips

Act
by Mar 26, 2026
Effective date
Mar 26, 2026
Identified
Mar 31, 2026

Summary

Beginning March 26, 2026, all electronic eligibility inquiries (270 transactions) submitted to Cigna Healthcare must include the National Provider Identifier (NPI) in the correct data segment. Transactions without NPI will be rejected with a 999 error response.

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What to do

by Mar 26, 2026 · 2 steps
01Billing team must contact their direct clearinghouse to update 270 transaction format to include NPI in segment NM109 with 'XX' qualifier in NM108.
02Monitor all eligibility responses from clearinghouse to ensure transactions are not being rejected.
If missed: Failure to include NPI will result in automatic transaction rejections.

Original notice

EDI Requirement Update and Tips
providernewsroom.com · Always check the source before changing claims.
View original ↗

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Summary of Provider Newsroom U.S. commercial medical articlesLowEffective Mar 26, 2026 · CoverageBrowse every Cigna change in the policy list

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